A new analysis from KFF and Health Management Associates takes a dive into prior authorization practices for Medicaid managed care organizations. The study polled state programs on policies in place ...

Medicaid Managed Care Organizations (MCOs) denied one out of eight prior authorization requests in 2019, according to a new report from the Office of Inspector General (OIG). The OIG review included ...

This study examined the impact of prior authorization formularies on the likelihood that patients with schizophrenia will be arrested and incarcerated. We collected drug-level information on prior ...

A report by the Office of Inspector General (OIG) finds Medicaid managed care members may not be receiving all medically necessary services. Medicaid managed care organizations (MCOs) denied one out ...

New Jersey Human Services Commissioner Carole Johnson announced on April 1, that NJ Medicaid plans will no longer require prior authorization before patients can access medication-assisted treatment ...

The 2025 session will have few new dollars not swallowed up by Medicaid, limiting options for lawmakers to address health concerns.(Leslie Bonilla Muñiz/Indiana Capital Chronicle) A revenue report ...

Therapists treating Medicaid enrollees in Colorado will have to get the state’s authorization to conduct more than 24 sessions with an individual patient in a year, as the department overseeing the ...

A revenue report from mid-December determined that incoming monies would be sluggish over the next two years, with barely any new dollars expected to hit Indiana’s coffers. Much of that funding will ...